Angiogenic agents and their uses

ABSTRACT

The present invention relates to the use of a compound of formula I:  
                 
 
     in which,  
     A 1  is the radical corresponding to D- or L-Ser,  
     A 2  is the radical corresponding to D- or L-Asp or Glu,  
     A 3  is the radical corresponding to D- or L-Lys, Arg or Orn,  
     A 4  is the radical corresponding to D- or L-Pro,  
     R 1  and R 2  are chosen, independently, from H, C 1 -C 12 -alkyl which may or may not be substituted, C 7 -C 20 -arylalkyl which may or may not be substituted, R 4 CO or R 4 COO, R4 being C 1 -C 12 -alkyl which may or may not be substituted, or C 7 -C 20 -arylalkyl which may or may not be substituted;  
     among the substitutions, mention should be made of OH, NH 2  or COOH,  
     X 1  and X 2  are peptide or pseudopeptide bonds,  
     X 3  is CO or CH 2  and  
     R 3  is OH, NH 2 , C 1 -C 12 -alkoxy or NH—X 4 —CH 2 —Z, X 4  is a normal or branched C 1 -C 12  hydrocarbon, and Z is H, OH, CO 2 H or CONH 2 ,  
     or the corresponding tripeptides comprising the radicals A 1 , A 2 , A 3 ,  
     and also the pharmaceutically acceptable salts, for the preparation a of medicament for treating pathologies which may benefit from stimulation of angiogenesis.

[0001] The present invention relates to compounds which induce angiogenesis and to uses thereof, in particular in the treatment of certain vascular pathologies.

[0002] Angiogenesis is a fundamental physiological phenomenon which is present throughout the life of an individual and which makes it possible to maintain the structural and functional integrity of the organism. Angiogenesis appears in response to local stimuli which induce a cascade of events leading to the formation of new blood vessels from pre-existing vessels.

[0003] During neovascularization, endothelial cells represent the central element essential to the creation of new vessels. Their development and growth are regulated by positive (angiogenic) and negative (angiostatic) factors. In the vessels already formed, the endothelial cells are in the quiescent state. However, in response to an angiogenic stimulus, these cells begin to proliferate and to migrate towards the site of creation of new vessels, which requires the creation of interactions with the surrounding cells and with the elements of the extracellular matrix.

[0004] In adults, angiogenesis is a key process of reproductive functions (formation of the yellow body, formation of the placenta, development of the endometrium) and especially of tissue repair during traumas (cicatrization) and ischaemias. It is therefore evident that stimulating angiogenesis by administrating exogenous molecules would represent considerable progress in the therapy of certain ailments, such as the repair of skin, bone, gastric or ophthalmic wounds, for example. Perspectives for clinical use of such angiogenic mediators are also opened up for promoting tissue regeneration associated with ischaemic pathologies or for endothelialization of prostheses.

[0005] Several angiogenic factors capable of inducing, in vitro as in vivo, the steps of angiogenesis have been identified (angiogenin, angiopoietin, interleukin 8 (IL-8), epidermal growth factor (EGF), fibroblast growth factors (FGFs), transforming growth factor (TGF) α and β, hepatocyte growth factor (HGF), platelet-derived endothelial growth factor (PDGF), tumour necrosis factor α (TNFα), vascular endothelial growth factors (VEGFs) and placental growth factor (PIGF). All these factors, which are protein in nature, are the subject of intense research on their abilities to repair tissue in humans. Phase I and II clinical trials with VEGFs and FGFs have been started. In particular, these factors are assessed for their therapeutic effects on both cardiac and cerebral ischaemic pathologies. The current results from these trials show that, whatever the method of administration of these factors (infusion of recombinant proteins or gene therapy), the latter do not show the expected therapeutic effectiveness (Ferrara N. Alitalo K., 1999 Clinical applications of angiogenic growth factors and their inhibitors. Nature Med., 5: 1359-1364). New approaches aimed at stimulating tissue neo-vascularization are currently being directed towards therapies which combine several angiogenic factors.

[0006] The availability of the angiogenic factors in the form of recombinant proteins has made it possible to show that their local application may accelerate wound healing. The product which appears to be the most advantageous is TGFβ. Its cicatrizing properties have been solidly established for several years and clinical trials are ongoing.

[0007] In any event, most of these angiogenic factors are high molecular weight proteins which can only be obtained via the recombinant approach, which, by the same token, increases the cost price of the treatment.

[0008] While some polypeptides are capable of stimulating angiogenesis, the inventors have succeeded in demonstrating a real angiogenic activity of peptide structures of small size, and more especially of four amino acids.

[0009] It will be noted that the peptides of small size, including formula I or at least the three amino acids (comprising the radicals corresponding to A₁, A₂, A₃), are also part of the invention.

[0010] For this reason, the present invention relates, for this type of application, to the use of small peptides, the chemical synthesis of which poses no problem and the cost price of which is quite low.

[0011] In addition, the use of these peptides has, from an industrial point of view, a certain number of advantages, among which is, in particular, the fact that they are easier to handle than proteins.

[0012] The present invention relates to the use of a compound of formula I:

[0013] in which,

[0014] A₁ is the radical corresponding to D- or L-Ser,

[0015] A₂ is the radical corresponding to D- or L-Asp or Glu,

[0016] A₃ is the radical corresponding to D- or L-Lys, Arg or Orn,

[0017] A₄ is the radical corresponding to D- or L-Pro,

[0018] R₁ and R₂ are chosen, independently, from H, C₁-C₂₀-alkyl which may or may not be substituted, C₇-C₂₀-arylalkyl which may or may not be substituted, R₄CO or R₄COO, R₄ being C₁-C₁₂-alkyl which may or may not be substituted, or C₇-C₂₀-arylalkyl which may or may not be substituted;

[0019] among the substitutions, mention should be made of OH, NH₂ or COOH,

[0020] X₁ and X₂ are peptide or pseudopeptide bonds,

[0021] X₃ is CO or CH₂ and

[0022] R₃ is OH, NH₂, C₁-C₁₂-alkoxy or NH—X₄—CH₂—Z, X₄ is a normal or branched C₁-C₁₂ hydrocarbon, and Z is H, OH, CO₂H or CONH₂,

[0023] or the corresponding tripeptides comprising the radicals A₁, A₂, A₃,

[0024] and also the pharmaceutically acceptable salts, for the preparation of a medicament for treating pathologies which may benefit from angiogensis.

[0025] The expression “benefit from angiogenesis” is intended to mean benefit from an induction and/or from a stimulation of angiogenesis.

[0026] The peptides or pseudopeptides corresponding to these formulae are derived from the basic structure of the tetrapeptide acetyl-Ser-Asp-Lys-Pro (AcSDKP), these derivatives being intended, in particular, to increase the angiogenic activity, to decrease the side effects and/or to increase the lifetime in physiological medium.

[0027] Among the compounds of the invention, mention should be made of the tripeptide derived from a peptide AcSDKP and comprising the radicals A₁, A₂, A₃.

[0028] The basic structure is a molecule which has been isolated from foetal calf bone marrow and the uses of which have, until now, been linked to a function of inhibiting haematopoietic stem cell proliferation, described in particular in WO 88/00594.

[0029] The expression “radical corresponding to” should be taken to mean the radical A of the formula: NH₂—CH(A)—COOH corresponding to the amino acid.

[0030] Thus, A is

[0031] —CH₂OH for Ser,

[0032] —CH₂COOH for Asp,

[0033] —CH₂—CH₂—COOH for Glu,

[0034] —(CH₂)₃—NH—C(NH)NH₂ for Arg,

[0035] —(CH₂)₃—NH₂ for Orn and

[0036] —(CH₂)₄—NH₂ for Lys,

[0037] for the terminal amino acid A₄, it is either the structure:

[0038] ═N—CH(A)—CO— or NH—(CH)A—CO—.

[0039] The term “pseudopeptide” is intended to denote compounds similar to the reference peptides but in which one or more peptide bonds —CO—NH—have been replaced with a bond equivalent to the peptide bond, which is termed pseudopeptide, i.e. —CH₂—NH—, —CH₂—S—, —CH₂—O—, —CO—CH₂—, —CH₂—CO—, —CH₂—CH₂—, represented by ψ(CH₂NH) for example.

[0040] Among the radicals R₁ and R₂, preference will be given more particularly to the radicals: H and (C₁-C₃)-alkyl-CO—, in particular CH₃CO and also HOOC—CH₂—CH₂—CO—O.

[0041] Similarly, R₃ is preferably NH₂, OH or NHCH₃.

[0042] Among the compounds, mention should be made of:

[0043] CH₃CO-Ser-Asp-Lys-Pro-OH

[0044] CH₃CO-Ser-ψ-(CH₂NH)-Asp-Lys-Pro-OH

[0045] CH₃CO-Ser-Asp-ψ-(CH₂NH)-Lys-Pro-OH

[0046] CH₃CO-Ser-Asp-Lys-ψ-(CH₂N)-Pro-OH

[0047] CH₃CO-Ser-ψ-(CH₂NH)-Asp-Lys-Pro-NH₂

[0048] CH₃CO-Ser-Asp-ψ-(CH₂NH)-Lys-Pro-NH₂

[0049] CH₃CO-Ser-Asp-Lys-ψ-(CH₂N)-Pro-NH₂

[0050] H-Ser-ψ-(CH₂NH)-Asp-Lys-Pro-OH

[0051] H-Ser-Asp-ψ-(CH₂NH)-Lys-Pro-OH

[0052] H-Ser-Asp-Lys-ψ-(CH₂N)-Pro-OH

[0053] HOOCCH₂CH₂CO-Ser-ψ-(CH₂NH)-Asp-Lys-Pro-OH

[0054] HOOCCH₂CH₂CO-Ser-Asp-ψ-(CH₂NH)-Lys-Pro-OH

[0055] HOOCCH₂CH₂CO-Ser-Asp-Lys-ψ-(CH₂N)-Pro-OH

[0056] H-Ser-ψ-(CH₂NH)-Asp-Lys-Pro-NH₂

[0057] H-Ser-Asp-ψ-(CH₂NH)-Lys-Pro-NH₂

[0058] H-Ser-Asp-Lys-ψ-(CH₂N)-Pro-NH₂

[0059] HOOCCH₂CH₂CO-Ser-ψ-(CH₂NH)-Asp-Lys-Pro-NH₂

[0060] HOOCCH₂CH₂CO-Ser-Asp-ψ-(CH₂NH)-Lys-Pro-NH₂

[0061] HOOCCH₂CH₂CO-Ser-Asp-Lys-ψ-(CH₂N)-Pro-NH₂

[0062] CH₃CO-Ser-Asp-Lys-Pro-NH₂

[0063] H-Ser-Asp-Lys-Pro-NH₂

[0064] CH₃CO-Ser-Asp-Lys-Pro-NHCH₃

[0065] H-Ser-Asp-Lys-Pro-NHCH₃

[0066] HOOCCH₂CH₂CO-Ser-Asp-Lys-Pro-NHCH₃

[0067] HOOCCH₂CH₂CO-Ser-Asp-Lys-Pro-NH₂.

[0068] The following compounds should also be mentioned:

[0069] CH₃CO-Ser-Asp-Lys-OH

[0070] CH₃CO-Ser-ψ-(CH₂NH)-Asp-Lys-OH

[0071] CH₃CO-Ser-Asp-ψ-(CH₂NH)-Lys-OH

[0072] CH₃CO-Ser-ψ-(CH₂NH)-Asp-Lys-NH₂

[0073] CH₃CO-Ser-Asp-ψ-(CH₂NH)-Lys-NH₂

[0074] H-Ser-ψ-(CH₂NH)-Asp-Lys-OH

[0075] H-Ser-Asp-ψ-(CH₂NH)-Lys-OH

[0076] HOOCCH₂CH₂CO-Ser-ψ-(CH₂NH)-Asp-Lys-OH

[0077] HOOCCH₂CH₂CO-Ser-Asp-ψ-(CH₂NH)-Lys-OH

[0078] H-Ser-ψ-(CH₂NH)-Asp-Lys-NH₂

[0079] H-Ser-Asp-ψ-(CH₂NH)-Lys-NH₂

[0080] HOOCCH₂CH₂CO-Ser-ψ-(CH₂NH)-Asp-Lys-NH₂

[0081] HOOCCH₂CH₂CO-Ser-Asp-ψ-(CH₂NH)-Lys-NH₂

[0082] CH₃CO-Ser-Asp-Lys-NH₂

[0083] H-Ser-Asp-Lys-NH₂

[0084] CH₃CO-Ser-Asp-Lys-NHCH₃

[0085] H-Ser-Asp-Lys-NHCH₃

[0086] HOOCCH₂CH₂CO-Ser-Asp-Lys-NHCH₃

[0087] HOOCCH₂CH₂CO-Ser-Asp-Lys-NH₂

[0088] Among the pharmaceutically acceptable salts, mention should be made in particular of the salts with inorganic acids; chloride, sulphate, phosphate, nitrate, hydrochlorate, but also with organic acids; in particular lactate, citrate for example, and also the salts with bases.

[0089] The inventors have now demonstrated that this tetra-peptide, or related peptides of formula I, are capable of inducing angiogenesis.

[0090] Among the treatments for pathologies which may benefit from stimulation of angiogenesis, mention should be made of vascular pathologies, in particular in the treatment of ischaemias. Thus, the compounds according to the present invention may be used in particular in the following cases:

[0091] 1. induction of collateral vessel formation in the case of ischaemic pathologies:

[0092] myocardial ischaemia (disease of the coronary arteries, myocardial infarction),

[0093] peripheral ischaemia (occlusion of the peripheral arteries),

[0094] cerebral ischaemias (cerebral vascular diseases),

[0095] 2. fracture cicatrization and repair in the case of tissue lesions:

[0096] dermatology: burns or injuries, chronic ulcers,

[0097] ophthalmology: corneal or retinal lesions,

[0098] gastroenterology: gastroduodenal ulcers,

[0099] bone surgery: hard tissue repair: bone + cartilage,

[0100] 3. nerve generation,

[0101] 4. reconstructive surgery and plastic surgery,

[0102] 5. endothelialization of vascular implants and bio-materials,

[0103] 6. organ transplantation (for example islets of Langherans).

[0104] The above list constitutes only some of the possible applications, in particular in the case of combined treatments; acceleration of angiogenesis may make it possible to accelerate healing.

[0105] The compounds according to the present invention are also useful in ex vivo or in vitro tissue cultures requiring neovascularization, as angiogenesis inducers, for example, in the culturing of skin or in the coating of materials with tissues.

[0106] It has been possible, in vitro, to show that AcSDKP is capable of significantly stimulating the growth of human endothelial cells (HUVEC and EA.hy926) and of endothelial cells originating from bovine brain capillaries (BBC).

[0107] In vivo, the angiogenic activity of AcSDKP has been tested on the “chick embryo chorioallantoic membrane” experimental model. On this model, AcSDKP induces neovascularization considerably.

[0108] In addition, a preliminary study carried out on medullar cells has revealed that, in vitro, AcSDKP increases the adhesion of these cells to various components of the extracellular matrix, such as fibronectin, collagen IV and laminin. Comparable results have been obtained in a preliminary experiment carried out with HUVEC human endothelial cells. It is clearly established that these interactions between endothelial cells and the extracellular matrix are determinant for the neovascularization and are involved at various steps of angiogenesis. Specifically, the extracellular matrix influences the proliferation and the migration of vascular endothelial cells, and also their ability to differentiate and to organize into capillaries in order to form new functional vessels suited to their tissue microenvironment.

[0109] The compounds according to the present invention may be administered in a suitable pharmaceutical form, for example via the oral, intravenous, transdermal, pulmonary, subcutaneous, nasal or other route, with the corresponding forms, whether they are tablets, injectable solutions, or ointments or gels, in particular when the preparation of compositions intended to improve cicatrization is desired.

[0110] In the case of revascularization, in particular in the treatment of ischaemias, use will preferably be made of injectable routes, and in particular of infusions.

[0111] Of course, the compounds according to the present invention may be used in combination with other active principles possibly intended to treat the pathology directly, when the angiogenesis will only constitute a support therapy for a main therapy, for example in the treatment of gastroduodenal ulcers.

[0112] With regard to the administration doses, in the models used, it has been noted that the angiogenic effect reaches a maximum and then decreases again if the doses administered are not increased. The administration dose will therefore possibly have to be adjusted to suit the type of pathology and to suit the patient, if necessary. The optimum doses of AcSDKP are between 10⁻⁵ and 10⁻¹¹ M and will preferably be between 10⁻⁶ and 10⁻⁹.

[0113] The compounds according to the present invention may be synthesized using synthetic processes of the peptide or pseudopeptide type, in particular the processes described in WO 88/00594, which describes the synthesis of the AcSDKP derivative, and in patent WO 97/28183, which describes the synthesis of pseudopeptides relating to AcSDKP.

[0114] Legends to the figures:

[0115]FIGS. 1a, 1 b and 1 c: AcSDKP stimulates the growth of bovine (BBC) and human (HUVEC and EA.hy926) endothelial cells, in vitro.

[0116]FIGS. 2a, 2 b and 2 c: Effect of AcSDKP and of analogues thereof on the vascularization of the chick embryo chorioallantoic membrane (CAM).

[0117]FIG. 3: Effect of AcSDKP on the formation of vascular tubes, in vitro, by endothelial cells (EA.hy926) in Matrigel.

EXAMPLE 1

[0118] The following tests were carried out with the tetra-peptide AcSDKP, the following results were observed:

[0119] AcSDKP significantly stimulates the growth of endothelial cells originating from bovine brain capillaries (BBC) and of human umbilical cord vein endothelial cells (HUVEC), and also the growth of an immortalized HUVEC cell line (EA.hy926). The mitogenic effect of AcSDKP manifests itself at concentrations ranging between 10⁻⁶ and 10⁻¹¹ M, with a maximum for 10⁻⁹ M.

[0120] The results of these studies are given in FIGS. 1a, 1 b and 1 c.

[0121] An additional study carried out on total marrow (containing, inter alia, endothelial cells) showed that, in vitro, AcSDKP increases the adhesion of the marrow cells to diverse components of the extracellular matrix, such as fibronectin, collagen IV and laminin.

[0122] The optimum concentration of AcSDKP in this type of model is between 10⁻⁶ and 10⁻⁸ M.

[0123] Comparable results were obtained in preliminary experiments carried out on HUVEC human endothelial cells.

[0124] It is well established that these interactions between endothelial cells and the extracellular matrix are determinant for the neovascularization and are involved at various steps of angiogenesis. Specifically, the extracellular matrix influences the proliferation and migration of vascular endothelial cells, and also their ability to differentiate and to organize into capillaries in order to form new functional vessels suitable for their tissue microenvironment.

EXAMPLE 2

[0125] The following experiments were carried out on the chick embryo chorioallantoic membrane experimental model and the activity of AcSDKP and of analogues thereof was tested on this model. It was possible to demonstrate that AcSDKP and its proteolysis-resistant analogue, AcSDKP-NH₂, significantly induced neovascularization, whereas its optical isomer, AcS_(D)DKP, had no angiogenic effect. The increase in the density of vascularization varies depending on the dose studied, with a maximum effect for AcSDKP and AcSDKP-NH₂ at concentrations of between 10⁻⁹ M and 10⁻⁷ M (FIGS. 2a, 2 b and 2 c).

EXAMPLE 3

[0126] The results of an in vivo study carried out in rats show that AcSDKP also induces neovascularization in mammals.

[0127] In these experiments, AcSDKP was injected into the abdominal muscle in normal rats (treatment twice a day for 5 hours). An angiography of the abdominal walls carried out in the animal sacrificed on day 8 revealed a more developed vascularization (significant increase in the number of small vessels) in animals treated with AcSDKP at the dose of 5 μg/kg/injection. It should be emphasized that this effect remains over time (observations made one month after the start of treatment). No significant modification of the vascularization was observed following administration of AcSDKP at the dose of 50 μg/kg/injection.

[0128] The loss of the angiogenic activity of AcSDKP linked with the increase in the dose administered, which was observed both in vitro (cells in culture) and in vivo (chick and rat embryo) is in agreement with the existence, for AcSDKP, of a bell-shaped dose-response, as previously described [(Guignon M., Bonnet D, Lemoine F., Kobari L., Parmentier C., Mary J. Y., Najman A. (1990) Inhibition of human bone marrow progenitors by the synthetic tetrapeptide AcSDKP; Exp. Hematol. 18, 1112; Jackson J. D., Yan Y., Ewel C., Talmage J. E. (1996) Activity of Acetyl-Ser-Asp-Lys-Pro (AcSDKP) on hematopoietic progenitors in short term and long-term murine bone marrow cultures. Exp. Hematol., 24, 475)].

EXAMPLE 4

[0129] The organization of the endothelial cells into vascular tubes constitutes an important step of angiogenesis. It was shown that AcSDKP stimulates, both in vitro and in vivo, the formation of the tubes in Matrigel.

[0130] The experiments carried out in vitro with two types of endothelial cell show that AcSDKP, at the concentrations of 10⁻⁹ M and 10⁻¹¹ M, induces an increase of the total surface area of the vascular network compared to the control values. The maximum stimulations, corresponding to an increase of 60% and 58%, respectively, were observed after exposure of the cells to the tetrapeptide for 6 hours. These effects are comparable to that generated by FGFb at 1 ng/ml (FIG. 3).

[0131] In vivo, AcSDKP induces, in a dose-dependent manner, the vascular invasion of Matrigel placed under the skin of the animal (Sprague-Dawley rat). In this experiment, AcSDKP was mixed with the Matrigel before implantation. Seven days later, the animals were sacrificed and the Matrigel samples were taken and fixed in formol, and were the subject of a histological study. The microscopic observations and the quantification of the vessels after staining and immunolabelling revealed the presence of a much greater number of vessels within the Matrigel having contained AcSDKP compared to the control Matrigel (Table 1). For the quantification, the vascular sections were counted on 10 consecutive fields (surface area=32 mm²) from the richest zone. TABLE 1 Effect of AcSDKP on the vascular invasion in vivo of Matrigel Number of vessels (% increase compared to control) Treatment Exp. 1 Exp. 2 Exp. 3 AcSDKP 10⁻⁵ M 60 185 — AcSDKP 10⁻⁶ M — 121 — AcSDKP 10⁻⁷ M 294 118 139 AcSDKP 10⁻⁸ M — 223 — AcSDKP 10⁻⁹ M 108 61 197 FGFb (50 ng/ml) — 297 —

EXAMPLE 5

[0132] Given the ability of angiogenic factors to stimulate, in vivo, the formation of new vessels in lesioned regions which are characterized by a deficiency in vascularization, we studied the effectiveness of AcSDKP in promoting tissue lesion repair, using a skin flap model. In fact, the distal necrosis of skin flaps generally results from rupturing of the vascular network and therefore from an insufficiency of arterial flow, which poses considerable problems in the fields of plastic and reconstructive surgery. It has been proved that administering an angiogenic factor, which contributes to the revascularization of these flaps, thus increases their survival.

[0133] We showed that s.c. injections of AcSDKP into the region of the flaps decreases their necrosis. Pedicled ventral skin flaps (6×6 cm) (left inguinal pedicle) were made in the Sprague-Dawley rats.

[0134] AcSDKP was administered at the dose of 5 μg/kg/injection (250 μl/injection) immediately after the surgical intervention, and then again 5 times at 12 hour intervals. The results obtained show that the survival of the flaps in the animals treated with AcSDKP increases by 10% compared to the controls. From a macroscopic point of view, the decrease in necrosis is accompanied by the increase in the density of the vascularization over the internal surface of the flaps. 

1. Use of a compound of formula I:

in which, A₁ is the radical corresponding to D- or L-Ser, A₂ is the radical corresponding to D- or L-Asp or Glu, A3 is the radical corresponding to D- or L-Lys, Arg or Orn, A₄ is the radical corresponding to D- or L-Pro, R₁ and R₂ are chosen, independently, from H, C₁-C₁₂-alkyl which may or may not be substituted, C₇-C₂₀-arylalkyl which may or may not be substituted, R₄CO or R₄COO, R₄ being C₁-C₁₂-alkyl which may or may not be substituted, or C₇-C₂₀-arylalkyl which may or may not be substituted; among the substitutions, mention should be made of OH, NH₂ or COOH, X₁ and X₂ are peptide or pseudopeptide bonds, X₃ is CO or CH₂ and R₃ is OH, NH₂, C₁-C₁₂-alkoxy or NH—X₄—CH₂—Z, X₄ is a normal or branched C₁-C₁₂ hydrocarbon, and Z is H, OH, CO₂H or CONH₂, or the corresponding tripeptides comprising the radicals A₁, A₂, A₃, and also the pharmaceutically acceptable salts, for the preparation of a medicament for treating pathologies which may benefit from angiogenesis.
 2. Use according to claim 1, characterized in that the pathologies in question are vascular pathologies, in particular ischaemias.
 3. Use according to claim 1, characterized in that the pathologies in question are pathologies which involve a tissue lesion, in particular fracture cicatrization and repair.
 4. Use according to claim 1, characterized in that the pathologies in question involve nerve regeneration, reconstructive surgery, endothelialization of material or organ transplantation.
 5. Use according to one of claims 1 to 4, characterized in that the compound of formula I is a pseudopeptide derived from a peptide AcSDKP.
 6. Use according to one of claims 1 to 4, characterized in that the compound of formula I is a tripeptide derived from a peptide AcSDKP and comprising the radicals A₁, A₂, A₃.
 7. Use according to one of claims 1 and 6, characterized in that the compound is chosen from: CH₃CO-Ser-Asp-Lys-Pro-OH CH₃CO-Ser-ψ-(CH₂NH)-Asp-Lys-Pro-OH CH₃CO-Ser-Asp-ψ-(CH₂NH)-Lys-Pro-OH CH₃CO-Ser-Asp-Lys-ψ-(CH₂N)-Pro-OH CH₃CO-Ser-ψ-(CH₂NH)-Asp-Lys-Pro-NH₂ CH₃CO-Ser-Asp-ψ-(CH₂NH)-Lys-Pro-NH₂ CH₃CO-Ser-Asp-Lys-ψ-(CH₂N)-Pro-NH₂ H-Ser-ψ-(CH₂NH)-Asp-Lys-Pro-OH H-Ser-Asp-ψ-(CH₂NH)-Lys-Pro-OH H-Ser-Asp-Lys-ψ-(CH₂N)-Pro-OH HOOCCH₂CH₂CO-Ser-ψ-(CH₂NH)-Asp-Lys-Pro-OH HOOCCH₂CH₂CO-Ser-Asp-ψ-(CH₂NH)-Lys-Pro-OH HOOCCH₂CH₂CO-Ser-Asp-Lys-ψ-(CH₂N)-Pro-OH H-Ser-ψ-(CH₂NH)-Asp-Lys-Pro-NH₂ H-Ser-Asp-ψ-(CH₂NH)-Lys-Pro-NH₂ H-Ser-Asp-Lys-ψ-(CH₂N)-Pro-NH₂ HOOCCH₂CH₂CO-Ser-ψ-(CH₂NH)-Asp-Lys-Pro-NH₂ HOOCCH₂CH₂CO-Ser-Asp-ψ-(CH₂NH)-Lys-Pro-NH₂ HOOCCH₂CH₂CO-Ser-Asp-Lys-ψ-(CH₂N)-Pro-NH₂ CH₃CO-Ser-Asp-Lys-Pro-NH₂ H-Ser-Asp-Lys-Pro-NH₂ CH₃CO-Ser-Asp-Lys-Pro-NHCH₃ H-Ser-Asp-Lys-Pro-NHCH₃ HOOCCH₂CH₂CO-Ser-Asp-Lys-Pro-NHCH₃ HOOCCH₂CH₂CO-Ser-Asp-Lys-Pro-NH₂.
 8. Use according to one of claims 1 and 6, characterized in that the compound is chosen from: CH₃CO-Ser-Asp-Lys-OH CH₃CO-Ser-ψ-(CH₂NH)-Asp-Lys-OH CH₃CO-Ser-Asp-ψ-(CH₂NH)-Lys-OH CH₃CO-Ser-ψ-(CH₂NH)-Asp-Lys-NH₂ CH₃CO-Ser-Asp-ψ-(CH₂NH)-Lys-NH₂ H-Ser-ψ-(CH₂NH)-Asp-Lys-OH H-Ser-Asp-ψ-(CH₂NH)-Lys-OH HOOCCH₂CH₂CO-Ser-ψ-(CH₂NH)-Asp-Lys-OH HOOCCH₂CH₂CO-Ser-Asp-ψ-(CH₂NH)-Lys-OH H-Ser-ψ-(CH₂NH)-Asp-Lys-NH₂ H-Ser-Asp-ψ-(CH₂NH)-Lys-NH₂ HOOCCH₂CH₂CO-Ser-ψ-(CH₂NH)-Asp-Lys-NH₂ HOOCCH₂CH₂CO-Ser-Asp-ψ-(CH₂NH)-Lys-NH₂ CH₃CO-Ser-Asp-Lys-NH₂ H-Ser-Asp-Lys-NH₂ CH₃CO-Ser-Asp-Lys-NHCH₃ H-Ser-Asp-Lys-NHCH₃ HOOCCH₂CH₂CO-Ser-Asp-Lys-NHCH₃ HOOCCH₂CH₂CO-Ser-Asp-Lys-NH₂
 9. Use of a compound of formula I:

in which, A₁ is the radical corresponding to D- or L-Ser, A₂ is the radical corresponding to D- or L-Asp or Glu, A₃ is the radical corresponding to D- or L-Lys, Arg or Orn, A₄ is the radical corresponding to D- or L-Pro, R₁ and R₂ are chosen, independently, from H, C₁-C₁₂-alkyl which may or may not be substituted, C₇-C₂₀-arylalkyl which may or may not be substituted, R₄CO or R₄COO, R₄ being C₁-C₂₀-alkyl which may or may not be substituted, or C₇-C₂₀-arylalkyl which may or may not be substituted; among the substitutions, mention should be made of OH, NH₂ or COOH, X₁ and X₂ are peptide or pseudopeptide bonds, X₃ is CO or CH₂ and R₃ is OH, NH₂, C₁-C₁₂-alkoxy or NH—X₄—CH₂—Z, X₄ is a normal or branched C₁-C₁₂ hydrocarbon, and Z is H, OH, CO₂H or CONH₂, or the corresponding tripeptides comprising the radicals A₁, A₂, A₃, and also the pharmaceutically acceptable salts, as an angiogenesis inducer in ex vivo or in vitro tissue cultures. 